1. NEXTGEN ALLERGY DEMONSTRATION This demonstration reviews entry of allergies and intolerances in NextGen. This has been prepared for EHR 5.7 and KBM 8.1. Some slides from earlier versions may be used when the difference is merely cosmetic and not confusing to the viewer. Subsequent updates may display further cosmetic and functional changes. Use the keyboard or mouse to pause, review, and resume as necessary.

2. Allergies are displayed prominently in several locations. On the Summary Tab they can be viewed, but not entered or edited.

3. The Intake Tab is where nurses will most commonly address allergies.

4. In addition, allergies may be reached via the Allergy Module at the bottom of the History Bar. (Some users may elect to display the Allergy Module on the Menu Bar at the top as well.)

5. If the patient has no allergies, just click the No allergies box and you’re done. Similarly, you would select Reviewed, no change when appropriate. It should be noted that the Allergy List is where all allergies, intolerances, and adverse reactions are entered—not just true allergies.

6. If the patient has some allergies, there are a couple ways to document them. On the Intake Tab under the Allergies section, you can click the Add button.

7. This leads to a popup with some common, age- appropriate allergens. This patient is allergic to sulfa, so we’ll click that.

8. In the ensuing popup, choose the reaction, if known. If the reaction is not on the list, just cancel out of the popup. Our patient gets a Rash with sulfa.

9. You may select additional allergies that appear on this screen. When done, click Save & Close.

10. The allergy just added appears on the grid, along with any others previously recorded. Since we just added an allergy, click the Allergies added today box.

11. Another more detailed way to enter allergies is to bring up the full Allergies Module. You can do this by double-clicking on an Allergies Grid, or by clicking the Allergies Module.

12. If the patient has any allergies already documented, you can view details about the entry here. To do that, highlight the entry.

13. You can click the Severity dropdown arrow to enter a severity. You can add comments in the box at the bottom.

14. You can also indicate that the problem is actually a medication intolerance and not a true allergy by clicking the Intolerance checkbox.

15. If an allergy was entered in error, you can remove it by clicking the Delete button. If the original allergy entry was made on an encounter that is now locked, you will have to ask a clinic superuser or the EHR Team to unlock the encounter to delete this allergy. You should be absolutely certain this is correct before making this request.

16. You can also resolve an allergy by clicking on the Resolved date box, and entering a date. You would probably want to add a comment explaining the resolved allergy.

17. When done editing the data, click the Update button to complete this entry.

18. You can also use the Allergies Module to add an allergy that was not listed on the previously illustrated Allergies Popup. To begin, click the magnifying glass icon.

19. You now see a popup with multiple search options. Choose one, and start to type.

20. Our patient is allergic to chloramphenicol. When the selection appears, double-click on it.

21. The allergy tentatively appears here. You can choose a reaction, severity, date of onset, and add comments. When you’re done, click Add.

22. The new allergy is added to the table.

23. Note that you can add food allergies.

24. You can also find many allergy groups, to document class effects.

25. When done adding allergies, click the X in the upper right corner to close the popup.

26. If you attempt to prescribe a medicine for which an allergy is recorded, you will receive a warning.

27. This concludes the NextGen allergy demonstration. Why does Goofy stand erect while Pluto remains on all fours? They’re both dogs! R. Lamar Duffy, M.D. Associate Professor University of South Alabama College of Medicine Department of Family Medicine

28. This concludes the NextGen allergy demonstration. Why does Goofy stand erect while Pluto remains on all fours? They’re both dogs! R. Lamar Duffy, M.D. Associate Professor University of South Alabama College of Medicine Department of Family Medicine